Altered cardiac β1 responsiveness in hyperthermic older adults

Mads Fischer, Gilbert Moralez, Satyam Sarma, James P. MacNamara, Matthew N. Cramer, Mu Huang, Steven A. Romero, Michinari Hieda, Manabu Shibasaki, Shigehiko Ogoh, Craig G. Crandall

研究成果: ジャーナルへの寄稿学術誌査読


Compared with younger adults, passive heating induced increases in cardiac output are attenuated by ~50% in older adults. This attenuated response may be associated with older individuals’ inability to maintain stroke volume through ionotropic mechanisms and/or through altered chronotropic mechanisms. The purpose of this study was to identify the interactive effect of age and hyperthermia on cardiac responsiveness to dobutamine-induced cardiac stimulation. Eleven young (26 ± 4 yr) and 8 older (68 ± 5 yr) participants underwent a normothermic and a hyperthermic (baseline core temperature + 1.2C) trial on the same day. In both thermal conditions, after baseline measurements, intravenous dobutamine was administered for 12 min at 5 mg/kg/min, followed by 12 min at 15 mg/kg/min. Primary measurements included echocardiography-based assessments of cardiac function, gastrointestinal and skin temperatures, heart rate, and mean arterial pressure. Heart rate responses to dobutamine were similar between groups in both thermal conditions (P > 0.05). The peak systolic mitral annular velocity (S'), i.e., an index of left ventricular longitudinal systolic function, was similar between groups for both thermal conditions at baseline. While normothermic, the increase in S' between groups was similar with dobutamine administration. However, while hyperthermic, the increase in S' was attenuated in the older participants with dobutamine (P < 0.001). Healthy, older individuals show attenuated inotropic, but maintained chronotropic responsiveness to dobutamine administration during hyperthermia. These data suggest that older individuals have a reduced capacity to increase cardiomyocyte contractility, estimated by changes in S', via β1-adrenergic mechanisms while hyperthermic.

ジャーナルAmerican Journal of Physiology - Regulatory Integrative and Comparative Physiology
出版ステータス出版済み - 10月 2022

!!!All Science Journal Classification (ASJC) codes

  • 医学一般


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